Provider First Line Business Practice Location Address:
MEDCENTER ONE PHARMACY
Provider Second Line Business Practice Location Address:
300 N 7TH ST BOX 5525
Provider Business Practice Location Address City Name:
BISMARCK
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58506-5525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-323-8606
Provider Business Practice Location Address Fax Number:
701-323-6988
Provider Enumeration Date:
06/15/2006